Adaptive Workflows for Healthcare Information Systems

  • Kees van Hee
  • Helen Schonenberg
  • Alexander Serebrenik
  • Natalia Sidorova
  • Jan Martijn van der Werf
Conference paper
Part of the Lecture Notes in Computer Science book series (LNCS, volume 4928)


Current challenges in Healthcare Information Systems (HIS) include supplying patients with personalized medical information, creating means for efficient information flow between different healthcare providers in order to lower risks of medical errors and increase the quality of care. To address these challenges, the information about patient-related processes, such as currently executed medical protocols, should be made available for medical staff and patients. Existing HIS are mostly data-centered, and therefore cannot provide an adequate solution. To give processes a prominent role in HIS, we apply the adaptive workflow nets framework. This framework allows both healthcare providers and patients to get an insight into the past and current processes, but also foresee possible future developments. It also ensures quality and timing of data communication essential for efficient information flow.


adaptive workflows EPR medical protocols Healthcare Information Systems 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    van der Aalst, W.M.P.: Verification of workflow nets. In: Azéma, P., Balbo, G. (eds.) ICATPN 1997. LNCS, vol. 1248, Springer, Heidelberg (1997)Google Scholar
  2. 2.
    van der Aalst, W.M.P., Weijters, T., Maruster, L.: Workflow mining: Discovering process models from event logs. IEEE Trans. Knowl. Data Eng. 16(9), 1128–1142 (2004)CrossRefGoogle Scholar
  3. 3.
    Adams, M., et al.: Worklets: A service-oriented implementation of dynamic flexibility in workflows. In: Meersman, R., Tari, Z. (eds.) OTM 2006. LNCS, vol. 4275, pp. 291–308. Springer, Heidelberg (2006)CrossRefGoogle Scholar
  4. 4.
    Charles, C., Gafni, A., Whelan, T.: Shared decision-making in the medical encounter: What does it mean (or it takes at least two to tango). Social Science and Medicine 44(5), 681–692 (1997)CrossRefGoogle Scholar
  5. 5.
    Cheng, P., Yang, C., Chen, H., Chen, S., Lai, J.: Application of hl7 in a collaborative healthcare information system. In: 26th Annual International Conference of the Engineering in Medicine and Biology Society, 2004. EMBC 2004, Conference Proceedings, vol. 2, pp. 3354–3357 (September 2004)Google Scholar
  6. 6.
    Ehrig, H., Padberg, J.: Graph grammars and Petri net transformations. In: Desel, J., Reisig, W., Rozenberg, G. (eds.) ACPN 2003. LNCS, vol. 3098, pp. 496–536. Springer, Heidelberg (2004)Google Scholar
  7. 7.
    European Comission. Communication from the commission to the council, the european parliament, the european economic and social committee and the committee of the regions. e-health - making healthcare better for european citizens: An action plan for a european e-health area, SEC(2004)539 (April 2004)Google Scholar
  8. 8.
    Gerber, B.S., Eiser, A.R.: The patient-physician relationship in the internet age: Future prospects and the research agenda. Journal of Medical Internet Research 3(2), e15 (2001)CrossRefGoogle Scholar
  9. 9.
    van Hee, K., Keiren, J., Post, R., Sidorova, N., van der Werf, J.M.: Designing case handling systems. In: Proc. of the International Workshop on Petri Nets and Software Engineering (2007)Google Scholar
  10. 10.
    van Hee, K., Lomazova, I., Oanea, O., Serebrenik, A., Sidorova, N., Voorhoeve, M.: Nested Nets for Adaptive Systems. In: Donatelli, S., Thiagarajan, P.S. (eds.) ICATPN 2006. LNCS, vol. 4024, pp. 241–260. Springer, Heidelberg (2006)CrossRefGoogle Scholar
  11. 11.
    van Hee, K.M., Lomazova, I.A., Oanea, O., Serebrenik, A., Sidorova, N., Voorhoeve, M.: Checking properties of adaptive workflow nets. Fundamenta Informaticae 79(3–4), 347–362 (2007)zbMATHMathSciNetGoogle Scholar
  12. 12.
    van Hee, K.M., Serebrenik, A., Sidorova, N., van der Aalst, W.: History-dependent Petri nets. In: Kleijn, J., Yakovlev, A. (eds.) ICATPN 2007. LNCS, vol. 4546, pp. 164–183. Springer, Heidelberg (2007)CrossRefGoogle Scholar
  13. 13.
    Hoffman, K.: Run time modification of algebraic high level nets and algebraic higher order nets using folding and unfolding construction. In: Hommel, G. (ed.) Proceedings of the 3rd Internation Workshop Communication Based Systems, pp. 55–72. Kluwer Academic Publishers, Dordrecht (2000)Google Scholar
  14. 14.
    Hoffmann, K., Ehrig, H., Mossakowski, T.: High-level nets with nets and rules as tokens. In: Ciardo, G., Darondeau, P. (eds.) ICATPN 2005. LNCS, vol. 3536, pp. 268–288. Springer, Heidelberg (2005)Google Scholar
  15. 15.
    Q. Homan. Harris interactive and ARiA marketing healthcare satisfaction study (October 2000), Available at:
  16. 16.
    Jensen, K.: Coloured Petri Nets. Basic Concepts, Analysis Methods and Practical Use. In: Monographs in Theoretical Computer Science, Springer, Heidelberg (1997)Google Scholar
  17. 17.
    Koh, H.C., Tan, G.: Data mining applications in healthcare. Journal of Healthcare Information Management 19(2), 64–72 (2005)Google Scholar
  18. 18.
    Petri, C.A.: Kommunikation mit Automaten. PhD thesis, University of Bonn, Bonn, West Germany (1962)Google Scholar
  19. 19.
    Quaglini, S., Panzarasa, S., Cavallini, A., Micieli, G., Pernice, C., Stefanelli, M.: Smooth integration of decision support into an existing electronic patient record. In: Miksch, S., Hunter, J., Keravnou, E.T. (eds.) AIME 2005. LNCS (LNAI), vol. 3581, pp. 89–93. Springer, Heidelberg (2005)Google Scholar
  20. 20.
    Quaglini, S., Stefanelli, M., Cavallini, A., Micieli, G., Fassino, C., Mossa, C.: Guideline-based careflow systems. Artificial Intelligence in Medicine 20(1), 5–22 (2000)CrossRefGoogle Scholar
  21. 21.
    Ricci, F.L., Serbanati, L.D.: Mobidis: Toward a patient centric healthcare information system. Studies in Health Technology and Informatics 116, 557–562 (2005)Google Scholar
  22. 22.
    Sadiq, S.W., Sadiq, W., Orlowska, M.E.: Pockets of flexibility in workflow specification. In: Kunii, H.S., Jajodia, S., Sølvberg, A. (eds.) ER 2001. LNCS, vol. 2224, pp. 513–526. Springer, Heidelberg (2001)CrossRefGoogle Scholar
  23. 23.
    van der Wal, G.: Rapport preoperatief traject ontbeert multidisciplinaire en gestandaardiseerde aanpak en teamvorming. Technical Report 2007-02, Staatstoezicht op de volksgezondheid. Inspectie voor de Gezondheidszorg (February 2007),

Copyright information

© Springer-Verlag Berlin Heidelberg 2008

Authors and Affiliations

  • Kees van Hee
    • 1
  • Helen Schonenberg
    • 1
  • Alexander Serebrenik
    • 1
  • Natalia Sidorova
    • 1
  • Jan Martijn van der Werf
    • 1
  1. 1.Department of Mathematics and Computer ScienceEindhoven University of TechnologyEindhovenThe Netherlands

Personalised recommendations